| NPI | 1922000512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23572) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8184) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2007-12-19 |