| NPI | 1790519460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032552) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-09-03 |