| NPI | 1598808305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5069-024) |
| Additional Taxonomies | 222Z00000X Orthotist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |