| NPI | 1497909295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT-019234) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT-019234) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2023-05-18 |