| NPI | 1316926652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017328) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: GA PT012761) | |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2023-02-03 |