| NPI | 1922524024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026294) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26641) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2019-03-14 |