| NPI | 1790401008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030742) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23289) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-06-18 |