| NPI | 1275813461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12149-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 25846) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-11-30 |