| NPI | 1255423943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19812) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-06-22 |