| NPI | 1992912349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23730) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT23730) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-07-30 |