| NPI | 1598186884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2680) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AK PHYP2680) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2025-10-30 |