| NPI | 1326258542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 9920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 28146) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-12-30 |