| NPI | 1902935356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22156) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002361) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2020-05-26 |