| NPI | 1538594460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31945) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036218-1) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2023-07-17 |