| NPI | 1215278452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 16241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020066) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2016-07-25 |