| NPI | 1760503809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17264) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT23073) |
| 282N00000X General Acute Care Hospital (Licence: AR PT 3574) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2019-05-31 |