| NPI | 1801109442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002979) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT020790) |
| Enumeration Date | 2010-07-25 |
| Last Update Date | 2013-05-20 |