| NPI | 1245358407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 20416) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-1601) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-07-26 |