| NPI | 1033887427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031361) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2023-07-19 |