| NPI | 1609897685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001497) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-07-24 |