| NPI | 1588854939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35705) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016599) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-06-26 |