| NPI | 1629363866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23664) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0003205) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2021-11-09 |