| NPI | 1346465069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P24499) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT12303L) |
| 225100000X Physical Therapist (Licence: SC CP048459T) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2025-11-18 |