| NPI | 1205298239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003416) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant (Licence: CA AT9664) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-05-17 |