| NPI | 1285514349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033707) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT017928) |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |