| NPI | 1073164778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026464) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2020-11-12 |