| NPI | 1326531062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 135721) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID PT-5537) |
| 225100000X Physical Therapist (Licence: UT 12894562-2401) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-07-05 |