| NPI | 1437753142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE CP018389T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: AZ LPT-32458) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-11-15 |