| NPI | 1760967285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19313) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027101) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2020-02-10 |