| NPI | 1619759529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031868) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA TPT023768) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-03-04 |