| NPI | 1750998720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031979) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2024-03-01 |