| NPI | 1104423243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: PA PT030344) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 298774) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-07-31 |