| NPI | 1891213823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032256) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29083) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2024-08-14 |