| NPI | 1013145721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT22945) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22945) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2024-01-05 |