| NPI | 1942242466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0001953) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DE U1-0000475) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-10-27 |