| NPI | 1326540527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: AK 175100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5430) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2021-05-28 |