| NPI | 1548628613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16108) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 220027) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2025-11-05 |