| NPI | 1649812371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027885) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT027885) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2020-10-02 |