| NPI | 1649393273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11422-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 6422054-2401) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2013-04-15 |