| NPI | 1386163061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE JT-0000949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26784) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2019-10-02 |