| NPI | 1194213454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 165370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 0014784) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-09-01 |