| NPI | 1346017183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22808) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030056) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-15 |