| NPI | 1104829472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J0000744) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT002780E) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-09-27 |