| NPI | 1730697269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003852) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2020-12-17 |