| NPI | 1700035243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT007466L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24247) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2023-09-07 |