| NPI | 1770865933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13284-24) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2024-05-03 |