| NPI | 1225321078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002795) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE1000409) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2013-04-10 |