| NPI | 1497943187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018692) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT018692) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2018-01-10 |