| NPI | 1134860059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05013177A) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-21 |