| NPI | 1063550002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023939) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 8753) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-07-23 |