| NPI | 1053863175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027435) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10003515) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2021-08-11 |