| NPI | 1386624781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT002591L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT000537) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |