| NPI | 1487964052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0001729) |
| Additional Taxonomies | 174400000X Specialist (Licence: DE 0001729) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-12-23 |