| NPI | 1043932189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030520) |
| 225100000X Physical Therapist (Licence: KY 008754) | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-09-06 |