| NPI | 1912972084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 14084) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2001028982) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-08-07 |