| NPI | 1497039283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021472) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-2961) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2013-03-13 |