| NPI | 1396864906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT010095L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT003899) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-06-30 |