| NPI | 1710412788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003729) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025648) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2021-11-08 |