| NPI | 1952842643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0002180) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018564) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |