| NPI | 1659312858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT013157L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10001530) |
| 225100000X Physical Therapist (Licence: NJ 40QA00877400) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-06-14 |