| NPI | 1699933465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT12760) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007488) |
| 225100000X Physical Therapist (Licence: PA PT012256L) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |