| NPI | 1326395195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12208-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 9140) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2020-09-02 |