| NPI | 1770049876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003437) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: DE J1-0003437) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: MD 25847) | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-03-09 |