| NPI | 1386973048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 4827-26) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 1967-24) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2011-03-14 |