| NPI | 1245745801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026551) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26816) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2022-07-30 |