| NPI | 1659901858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT004604) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-01-09 |