| NPI | 1194329482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE CP012051T) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD 28208) |
| 225100000X Physical Therapist (Licence: MD 28208) | |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2023-02-13 |