| NPI | 1992289896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027232) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-11-02 |