| NPI | 1942527379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: PA PT015365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21532) |
| Enumeration Date | 2010-04-25 |
| Last Update Date | 2014-09-08 |