| NPI | 1588274492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028577) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213766) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-01-12 |