| NPI | 1750306023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018172) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001715) |
| 225100000X Physical Therapist (Licence: MI 5501302039) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-11-20 |