| NPI | 1417956137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA pt011284L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT000010) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT011284L) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2013-08-27 |