| NPI | 1568857563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024342) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207455) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2021-03-17 |