| NPI | 1548876709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28060) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT028887) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2022-04-04 |