| NPI | 1780338889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 30253) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0014480) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-12-19 |