| NPI | 1811332612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5175) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 5175-024) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2025-02-18 |