| NPI | 1205585858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030321) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |