| NPI | 1346652740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT009878L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20889) |
| 225100000X Physical Therapist (Licence: FL PT26850) | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |