| NPI | 1740678119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT023207) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT28549) |
| 225100000X Physical Therapist (Licence: IA 073245) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |