| NPI | 1821154022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AK T0720) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AK PT0720) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2018-12-10 |