| NPI | 1861058661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027850) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: PA TPT023229) | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2023-05-18 |