| NPI | 1316117476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-019142) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019142) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2021-03-15 |