| NPI | 1093138026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12230-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1221936) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2019-02-02 |