| NPI | 1851844146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024983) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PA024983) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2021-01-29 |