| NPI | 1316403918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37723) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 9298) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2021-09-21 |