| NPI | 1871821397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT30378) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA55128) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2016-06-23 |