| NPI | 1548507098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022502) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002897) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |