| NPI | 1386797744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35543) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MT104668) |
| 225100000X Physical Therapist (Licence: PR 1300) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-07-01 |