| NPI | 1437932639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0015074) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: PA PT032405) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2025-08-07 |