| NPI | 1356638324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7090) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2025-11-04 |