| NPI | 1093747487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0001852) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20449) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-09-19 |