| NPI | 1982830048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016394) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0001381) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2021-12-28 |