| NPI | 1528878881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA TPT023905) |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-12-08 |