| NPI | 1417431842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34815) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2020-08-02 |