| NPI | 1992733869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT12840) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL PT 12840) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-02-26 |