| NPI | 1265884084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13928-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014142) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2022-07-21 |