| NPI | 1134525991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024802) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 11262) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2018-09-24 |