| NPI | 1548750458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14217-24) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-08-13 |