| NPI | 1194360230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0004168) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27673) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2024-10-08 |