| NPI | 1154432268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002114) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 18724) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-08-21 |