| NPI | 1013944131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016337) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT0001305) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2009-10-15 |