| NPI | 1669749610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK PHYP2441) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 33971) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2023-09-06 |