| NPI | 1447079900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032522) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 30181) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-10-15 |