NPI | 1043406358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019288) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 22253) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2025-04-25 |