| NPI | 1265745319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT020673) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: PA DN006907) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2020-12-15 |