| NPI | 1265257802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033240) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 307374) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-07-09 |