| NPI | 1942275052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT002867l) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT000387) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2009-06-11 |