| NPI | 1023623238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028320) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT005347) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2022-10-06 |