| NPI | 1720219603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT23359) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029074) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |