| NPI | 1760526131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5652-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 5852-024) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2010-02-23 |