| NPI | 1467785105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK PHYP2858) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL-10534) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2018-01-03 |