| NPI | 1912247370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT26632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 26632) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2024-02-15 |