| NPI | 1356821037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029003) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27099) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-10-28 |