| NPI | 1235784737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22345) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027851) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-04-23 |