| NPI | 1932318961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT-7827) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA-20936) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |