| NPI | 1831253129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5284-024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3038) |
| 225100000X Physical Therapist (Licence: CO PTL-11520) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-04-10 |