| NPI | 1033293428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 9615-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 6606) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2025-10-09 |