| NPI | 1073938700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28894) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023386) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2023-11-02 |