| NPI | 1336820091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031387) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0014717) |
| 225100000X Physical Therapist (Licence: PT031387) | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-09-11 |