| NPI | 1316614035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 234045) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-7431) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-03-26 |