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 |