| NPI | 1073868014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28527) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022146) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2021-10-27 |