| NPI | 1942784426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE JI-0014453) |
| 225100000X Physical Therapist (Licence: PA PT027301) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2023-02-22 |