| NPI | 1588859904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT017052) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT017052) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2014-11-18 |