| NPI | 1104868645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10000374) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT001208E) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-02-20 |