| NPI | 1831628791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031005) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210551) |
| 225100000X Physical Therapist (Licence: NC P17886) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-02-08 |