| NPI | 1144654344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT023554) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT007855) |
| 225100000X Physical Therapist (Licence: GA PT011187) | |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2018-04-05 |