| NPI | 1992394431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029195) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT004950) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2025-11-25 |