| NPI | 1588898498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT016859) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305202754) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |