| NPI | 1841738317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27287) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025772) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2018-12-10 |