| NPI | 1295856326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002087) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34466) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2026-01-16 |