| NPI | 1326057506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016267) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT016267) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-04-17 |