| NPI | 1386951200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025933) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010489A) |
| 225100000X Physical Therapist (Licence: NY 032797) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2024-01-13 |