| NPI | 1740449107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9978) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23964) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2022-08-30 |