| NPI | 1164953840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0004133) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26366) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2019-08-21 |