| NPI | 1518690569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030788) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-09-27 |