| NPI | 1487534814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033576) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO CP054494T) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2026-04-29 |