| NPI | 1801276712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 121582) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: MA 20561) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-10-23 |