| NPI | 1235837808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12038) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: DE J1-0014904) | |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2024-10-09 |