| NPI | 1942858667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027924) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213302) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2025-12-01 |