| NPI | 1922122712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA pt 015384) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0001624) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2007-07-08 |