| NPI | 1174591697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 13487) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT003427L) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2012-03-08 |