| NPI | 1316212061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT32647) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist (Licence: FL MA51369) | |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2024-07-13 |