| NPI | 1962673707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT019641) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22481) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2009-05-28 |