| NPI | 1598846131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10636) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 2259) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2017-01-03 |