| NPI | 1871117671 |
|---|---|
| Former Name | MONICA HACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06450) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020021387) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-07-17 |