| NPI | 1285867358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11269-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11296) |
| 225100000X Physical Therapist (Licence: WI 11926) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2020-05-01 |