| NPI | 1265649263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT014018L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-00001567) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-03-27 |