| NPI | 1477748465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019913) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2006037638) |
| 225100000X Physical Therapist (Licence: CA 35307) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2018-03-17 |