| NPI | 1326888694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23164) |
| 225100000X Physical Therapist (Licence: MA 27561) | |
| Enumeration Date | 2024-05-25 |
| Last Update Date | 2024-06-13 |