| NPI | 1316293335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA DAPT004241) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 09221R) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2020-09-01 |