| NPI | 1720024151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10001399) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT012717l) |
| 225100000X Physical Therapist (Licence: MD 22232) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-06-27 |