| NPI | 1104433648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 183270) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE CP003564T) |
| 225100000X Physical Therapist (Licence: MD 28420) | |
| 225100000X Physical Therapist (Licence: NE 4127) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-05-07 |