| NPI | 1457505190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK PHYP2185) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8258) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2018-08-30 |