| NPI | 1932821949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P21651) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-01-09 |