| NPI | 1457825077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16130) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: CA PT295955) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2024-02-26 |