| NPI | 1164262879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-1144894) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032376) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-07-10 |