| NPI | 1700038486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24583) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PR 1362) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2023-05-24 |