| NPI | 1114057031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT 000526 E) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC 000834 L) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |