| NPI | 1912475427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027252) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2020-09-02 |