| NPI | 1326372996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-20449) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10002489) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2011-02-02 |