| NPI | 1497797989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1001634) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015364) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-02-25 |