| NPI | 1760558027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35892) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05002813A) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2021-09-17 |