| NPI | 1215504758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT37187) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2024-12-23 |