| NPI | 1154619039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002786) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021488) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2013-04-09 |