| NPI | 1134053291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37365) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA109350) |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-11 |