| NPI | 1851051346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT030209) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA TPT023488) |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2022-02-10 |