| NPI | 1902296825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003226) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH12043) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2024-10-21 |