| NPI | 1811340839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13640-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61683) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2017-02-13 |