| NPI | 1609186808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P12674) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2022-12-02 |