| NPI | 1053125443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 16782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT033025) |
| 225100000X Physical Therapist (Licence: MD 30303) | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-07-31 |