| NPI | 1396989463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 4242) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11211-024) |
| 225100000X Physical Therapist (Licence: IL 070017080) | |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2013-07-17 |