| NPI | 1942272166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports (Licence: PA PT005956L) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-10-25 |