| NPI | 1992956304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT24220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD T-6384) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2016-08-22 |