| NPI | 1063966760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023390) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871954) |
| 225100000X Physical Therapist (Licence: PA DAPT004966) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2023-10-24 |