| NPI | 1427499516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003014) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: DE J1-0003014) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |