| NPI | 1710954250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 017311) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 19415) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2026-04-06 |