| NPI | 1144363680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23181) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-01-22 |