| NPI | 1992316186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA pt028694) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P20105) |
| 225100000X Physical Therapist (Licence: PA DAPT005450) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-06-12 |