| NPI | 1124083605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE D1-0003059) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 20109) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2025-12-08 |