| NPI | 1215487533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 120733) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 16655) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2022-07-20 |