| NPI | 1003121088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30667) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma40447) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2015-09-08 |