| NPI | 1316043367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 15805) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT011448L) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-08-01 |