| NPI | 1316994619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT016106) |
| 225100000X Physical Therapist (Licence: DE J1-0001614) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-04-21 |