| NPI | 1346617321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT024684) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2022-12-15 |