| NPI | 1467019968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026146) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: PA PT026146) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT026146) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2025-05-06 |