| NPI | 1720643950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE CP014799T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 27322) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2022-10-20 |