| NPI | 1275103194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029592) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0014393) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-08-18 |