| NPI | 1265864987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-023070) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023070) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2022-12-22 |