| NPI | 1215636642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29879) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: DE J1-0014668) | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2024-05-14 |