| NPI | 1841534849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35625) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 871577) |
| 225100000X Physical Therapist (Licence: FL PT27591) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2022-03-03 |