| NPI | 1740909860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032277) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38906) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2025-04-23 |