| NPI | 1922494533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003620) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025707) |
| 225100000X Physical Therapist (Licence: CA 42463) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2022-07-21 |