| 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 |