| NPI | 1174512834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT007605L) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2016-04-01 |