| NPI | 1649605528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024158) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 3665) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2015-01-27 |