| NPI | 1548835739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 175477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63392) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |