| NPI | 1326357682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12175-24) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 11926-146) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2014-12-31 |