| NPI | 1184136459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026287) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2025-07-30 |