| NPI | 1114269198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: AK 2566) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 2566) |
| 2251N0400X Physical Therapist Neurology (Licence: AK 2566) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: AK 2566) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2022-07-21 |