| NPI | 1336798560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12251-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 005146) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |