| NPI | 1457486011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT18382) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL PT18382) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-08-03 |