| NPI | 1467604280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23507) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018551) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2012-01-20 |