| NPI | 1790750263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT000681E) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT000362) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2016-04-25 |