| NPI | 1003941592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: DE J1-0002084) |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: MD 19268) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |