| NPI | 1720244510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT871471) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26167) |
| 225100000X Physical Therapist (Licence: GA PT009419) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2024-02-16 |