| NPI | 1053151522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032348) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1327423) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-04-18 |