| NPI | 1144739897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029587) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0003794) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-10-27 |