| NPI | 1851652952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11193-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24538) |
| 225100000X Physical Therapist (Licence: NM 3471) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |