| NPI | 1194852947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT020406) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT002095) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-10-22 |