| NPI | 1306888193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023334) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10001947) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-07-25 |