| NPI | 1215427711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 131276) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293812) |
| 225100000X Physical Therapist (Licence: ID PT-5021) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |