| NPI | 1235301789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA17476) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2024-06-27 |