| NPI | 1578929865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003385) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25609) |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2016-01-03 |