| NPI | 1043485980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 18463) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT18463) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-07-13 |