| NPI | 1477985158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025621) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P14378) |
| 225100000X Physical Therapist (Licence: SC 7158) | |
| 225100000X Physical Therapist (Licence: PA DAPT003614) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2025-07-24 |