| NPI | 1710993423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002518) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 8979) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-08-14 |