| NPI | 1922380369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024137) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 38150) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2015-04-01 |