| NPI | 1992344394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014643) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25998) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2024-04-19 |