| NPI | 1467602615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: WI 916-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 916.024) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2009-02-16 |