| NPI | 1639311962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019764) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2026-03-18 |