| NPI | 1982128229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35737) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.022983) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2021-01-18 |