| NPI | 1659543460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10571) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 9964-024) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2021-07-06 |