| NPI | 1083404842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027367) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0003996) |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |