| NPI | 1417507542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029416) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT872536) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2021-06-09 |