| NPI | 1104970797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 027572-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020218) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2023-03-10 |