| NPI | 1134326903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018774) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11558) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2015-08-25 |