| NPI | 1437465192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA DAPT003627) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT0130491) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2019-05-31 |