| NPI | 1932432630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 31343) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 35985) |
| Enumeration Date | 2009-09-12 |
| Last Update Date | 2016-06-03 |