| NPI | 1295959831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 18735) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA PT009912L) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2026-08-24 |