| NPI | 1477650885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT165047) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002350) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-09-02 |