| NPI | 1174101182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024910) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DE J1-0003186) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2024-06-04 |