| NPI | 1639125586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10001908) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT017221) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2017-04-13 |