| NPI | 1972637726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT009309L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0001040) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-07-29 |