| NPI | 1598164006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT021380) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10102) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2015-09-21 |