| NPI | 1528200599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10420-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 24498) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2013-05-17 |