| NPI | 1467518407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1541) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 10544199-2401) |
| 2251S0007X Physical Therapist, Sports (Licence: AK 1541) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-03-16 |