| NPI | 1629021464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0001053) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT009263L) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-07-23 |