| NPI | 1437405701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023084) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 13727) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2014-11-03 |