| NPI | 1366991358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014928) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: DE J2-0001091) |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2024-08-19 |