| NPI | 1689790396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 001288) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT008393L) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |