| NPI | 1639297849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA DAPT001448) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT013666L) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-09-27 |