| NPI | 1194910489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 6490-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 6490-24) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2022-03-17 |