| NPI | 1669265088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 033388) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 004848) |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-06-18 |