| NPI | 1225315096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11657-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT25068) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |