| NPI | 1841713856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA DAPT004704) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026132) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT296165) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2021-03-18 |