| NPI | 1134427701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 160274) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37452) |
| 225100000X Physical Therapist (Licence: HI 4752) | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2021-06-17 |