| NPI | 1245419803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10002277) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2016-04-21 |