| NPI | 1649365800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03142) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-012082) |
| 225100000X Physical Therapist (Licence: WI 15112-24) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-02-13 |