| NPI | 1245345628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11909-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5232) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-02-25 |