| NPI | 1093172371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 021998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23157) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |