| NPI | 1477670990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10002003) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018497) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-08-06 |