| NPI | 1073891438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT021471) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2014-07-28 |