| NPI | 1609637024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027883) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT005524) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |