| NPI | 1104888346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AK PSYP313) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 313) |
| 225X00000X Occupational Therapist (Licence: AK 354) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AK PSYO354) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2018-10-05 |