| NPI | 1497105712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 181928) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 16371) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 16371) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2021-12-02 |