| NPI | 1841596418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002766) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004698) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2012-01-04 |