| NPI | 1336898345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE CP010966T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1228949) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-05-17 |