| NPI | 1427749381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031318) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 004635) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-01-17 |