| NPI | 1801017975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018174) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-11-24 |