| NPI | 1134641012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27953) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 27953) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-04-30 |