| NPI | 1568230423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0000775) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: DE J1-0000775) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2026-02-05 |