| NPI | 1801278205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13079) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 13079-024) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-08-07 |