| NPI | 1891193322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA DAPT004384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4847) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OK 4847) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2019-12-17 |