| NPI | 1720276561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018990) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2024-07-01 |