| NPI | 1174871545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL PT27545) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 27545) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-09-13 |