| NPI | 1174924195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2833) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1807) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2019-04-23 |