| NPI | 1568887511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 28993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 29883) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2023-06-28 |