| NPI | 1821667320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033386) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28476) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2025-06-27 |