| NPI | 1023721438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA TPT023632) |
| 225100000X Physical Therapist (Licence: KY 009180) | |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2024-11-13 |