| NPI | 1306241161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12908-24) |
| 225100000X Physical Therapist (Licence: MT 13053) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2024-12-30 |