| NPI | 1831476464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026785) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13471) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2019-02-28 |