| NPI | 1467884429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024002) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT003344) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2020-10-08 |