| NPI | 1750677878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11904-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004739) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-05-01 |