| NPI | 1720234404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24063) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2020-11-20 |