| NPI | 1346437951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL P.T.3077) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA34337) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |