| NPI | 1871397968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032923) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41417) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |