| NPI | 1710402045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026123) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: PA PT026123) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2021-03-15 |