| NPI | 1952420556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA PT017445) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT017445) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-02-09 |