| NPI | 1154355733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002733) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: PA PT016469) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-09-18 |