| NPI | 1871539171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10129-24) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 10129-024) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-08-31 |