| NPI | 1285305599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15227-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0017298) |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2022-09-08 |