| NPI | 1932680154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT7024) |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2018-08-25 |