| NPI | 1629407846 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: DE J1-0002764)  | 
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT023138)  | 
| Enumeration Date | 2013-11-07 | 
| Last Update Date | 2014-01-28 |