| NPI | 1295069334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15142-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24869) |
| 2251X0800X Physical Therapist Orthopedic (Licence: CA 37758) | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2024-01-31 |