| NPI | 1518681428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014708) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030731) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2023-08-22 |