| NPI | 1588022024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26736) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-03-17 |