| NPI | 1194209478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014438) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029969) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2025-02-18 |