| NPI | 1033203583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32974) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 18364) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-09-18 |