| NPI | 1306575246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10014596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA J10014596) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-11-01 |