| NPI | 1043789381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031157) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA PT031157) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2023-04-18 |