| NPI | 1679798078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 48513) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 17152) |
| 225100000X Physical Therapist (Licence: AK 1731) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2018-04-10 |