| NPI | 1568172419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014865) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 29220) |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2025-10-20 |