| NPI | 1073029419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05012733A) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2018-08-02 |