| NPI | 1992253793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025551) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT31956) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-03-16 |