| NPI | 1306020458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029927) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P10416) |
| 225100000X Physical Therapist (Licence: NC 10416) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2022-01-18 |