| NPI | 1841623667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 16013-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24649) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2022-08-22 |