| NPI | 1215364385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026111) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011263) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2024-02-07 |