| NPI | 1659587061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT005876L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPToooo68) |
| 225100000X Physical Therapist (Licence: DE J1-0001113) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-04-12 |