| NPI | 1912026212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019952) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16757) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-10-24 |