| NPI | 1558568980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016505) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22400) |
| 225100000X Physical Therapist (Licence: MD 21794) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |