| NPI | 1164769717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010889) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-05-22 |