| NPI | 1396737573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016549) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016549L) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-08-10 |