| NPI | 1598917130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT10100) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA29268) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |