| NPI | 1740810431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23482) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |