| NPI | 1225211345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11213-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1174649) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2009-11-18 |