| NPI | 1518381243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL HCC10028) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL PTA13651) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |