| NPI | 1528271335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 2945-024) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251G0304X Physical Therapist Geriatrics | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-11-20 |