| NPI | 1356722607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7785) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0003339) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-11-15 |