| NPI | 1417931817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 1723) |
| 225100000X Physical Therapist (Licence: NE 2421) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2016-10-07 |