| NPI | 1720752801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 28993) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029721) |
| 225100000X Physical Therapist | |
| 225100000X Physical Therapist (Licence: PA PT029701) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2023-02-23 |