| NPI | 1891190542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023908) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2024-12-29 |