| NPI | 1841739828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT034111) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11613) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2026-03-25 |