| NPI | 1114719556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK CP056060T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT033259) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2026-06-11 |