| NPI | 1427638451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 43353) |
| 225100000X Physical Therapist (Licence: 070022018) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |