| NPI | 1366408163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024292) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21228) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2023-02-16 |