| NPI | 1417841743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30403) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0015073) |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2026-01-21 |