| NPI | 1083758999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14469) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10000893) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2025-07-24 |