| NPI | 1053516427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 121790SAV) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22336) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-04-14 |