| NPI | 1619484987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003442) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT027670) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2023-03-22 |