| NPI | 1255199535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014851) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032015) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |