| NPI | 1588093215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014918) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012623-1) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-12-02 |