| NPI | 1891224911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26413) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0003654) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |