| NPI | 1346219094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT 017579) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0001979) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2007-07-08 |