| NPI | 1043406358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019288) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 22253) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2025-04-25 |