| NPI | 1518297993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24842) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL PT24842) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2014-07-25 |