| NPI | 1336611391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7550) |
| 225100000X Physical Therapist (Licence: KY 6243) | |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |