| NPI | 1225759384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14514) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: PA PT030637) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2024-08-21 |