| NPI | 1518031764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10926-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05007054A) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-10-24 |