| NPI | 1962631093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT020442) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22987) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2013-04-15 |