| NPI | 1932307857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 15209) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT15209) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-03-20 |