| NPI | 1225282973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019552) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA pto19552) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2017-07-07 |