| NPI | 1649294844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-018183) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018183) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-12-30 |