| NPI | 1609753706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033697) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02354400) |
| 225100000X Physical Therapist (Licence: VA CP048745T) | |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-09-24 |