| NPI | 1801677588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032095) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA TPT023772) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-05-14 |