| NPI | 1699199604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12614-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 005326) |
| 225100000X Physical Therapist (Licence: IL 070-020518) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2015-12-10 |