| NPI | 1003820580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT006471L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT002004) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-04-27 |