| NPI | 1508380346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13908-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2016021899) |
| 225100000X Physical Therapist (Licence: KS 11-05380) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |