| NPI | 1568686004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 10154-024) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IN 05003422A) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-01-22 |