| NPI | 1083669725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: PA PT017487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017487) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |