| NPI | 1851837033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027288) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT31572) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2024-12-18 |