NPI | 1134887698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029792) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT029792) |
Enumeration Date | 2021-12-02 |
Last Update Date | 2024-08-19 |