| NPI | 1740303379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT008179L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT-008179-L) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2013-11-08 |