| NPI | 1306564018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014607) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29086) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-10-06 |