| NPI | 1508939992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34519) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT004444) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-08-30 |