| NPI | 1114980323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT005717L) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT-005717-L) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-07-01 |