| NPI | 1366656050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10002217) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23618) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-04-09 |