| NPI | 1235263146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19741) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 002043) |
| 225100000X Physical Therapist (Licence: PA PT016587) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-11-07 |