| NPI | 1962562512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0001841) |
| 225100000X Physical Therapist (Licence: PA PT013487L) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |