| NPI | 1245571587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13283) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021351) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2016-11-30 |