| NPI | 1235438045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN3375902) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |