| NPI | 1922135581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31260) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT18927) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-06-26 |