| NPI | 1154188191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032090) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-04-02 |