| NPI | 1467805499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 161452) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 25985) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2022-02-01 |