| NPI | 1164464467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33444) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-013614) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-11-13 |