| NPI | 1598591778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30158) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032435) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-26 |