| NPI | 1477276053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014836) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11376) |
| 225100000X Physical Therapist (Licence: VA CP029992T) | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2024-12-04 |