| NPI | 1467632018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0001284) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PTO18884) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2025-01-02 |