| NPI | 1548516719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12124-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9878) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2021-12-01 |