| NPI | 1962430215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002351) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017279) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-08-19 |