| NPI | 1619353331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 006690) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 102751) |
| 225100000X Physical Therapist (Licence: CO PTL.0015802) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2023-09-08 |