| NPI | 1760017214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028434) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29160) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2026-04-21 |