| NPI | 1467659367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14004) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05009253A) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2018-05-03 |