| NPI | 1710336060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT291048) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2017-04-17 |