| NPI | 1164168183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29421) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0041539) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2023-05-31 |