| NPI | 1447560685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT020901) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA PT020901) |
| 207PS0010X Emergency Medicine, Sports Medicine (Licence: PA PT020901) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-28 |