| NPI | 1073205407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031499) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA TPT023659) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-08-17 |