| NPI | 1639132517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 100023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6726) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2021-03-09 |