| NPI | 1619276037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023350) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002679) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2023-05-16 |