| NPI | 1225083231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3118) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-04-01 |