| NPI | 1558874602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014733) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT026502) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2023-11-02 |