| NPI | 1811013287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021670) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20941) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-03-28 |