| NPI | 1205692332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29842) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-06-27 |