| NPI | 1982705455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 6114) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA38366) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-02-20 |