| NPI | 1619237302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11988) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: 11988) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2021-08-24 |