| NPI | 1184157760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 194036) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211833) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2022-12-21 |