| NPI | 1275099665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029465) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL PT34210) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2025-01-29 |