| NPI | 1447639117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30488) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1259537) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-07-13 |