| NPI | 1902463490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027875) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2021-03-10 |