| NPI | 1285599035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033962) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA TPT024038) |
| Enumeration Date | 2025-12-23 |
| Last Update Date | 2026-02-05 |