| NPI | 1306155478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002729) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023291-1) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2023-07-18 |