| NPI | 1629753454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032695) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-11-04 |