| NPI | 1992921035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10001325) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-03-08 |