| NPI | 1598205536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 40788) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA66430) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2024-11-05 |