| NPI | 1619422573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13621-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26117) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2018-03-17 |