| NPI | 1497757959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: PA DAPT001787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT001632E) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2023-07-28 |