| NPI | 1295219079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: PA PT027095) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027095) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-07-03 |