| NPI | 1558325803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT013950L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5366) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2013-08-01 |