| NPI | 1144295759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 005034) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT007527L) |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2022-07-21 |