| NPI | 1013514942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT03333) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2022-12-23 |