NPI | 1124657119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028106) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2020-04-02 |
Last Update Date | 2023-08-30 |