| NPI | 1891883898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 23876) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 10854) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-01-19 |