| NPI | 1184078925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022984) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT003266) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |