| NPI | 1003147216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38425) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA57126) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2022-03-25 |