| NPI | 1528602265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA PT028167) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0014473) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2022-05-17 |