| NPI | 1417502766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31648) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027785) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2025-02-18 |