| NPI | 1174701346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT17989) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA7945) |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2012-01-05 |