| NPI | 1750936019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34942) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT34942) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-14 |