| NPI | 1649325465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41088) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007968) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-06-11 |