| NPI | 1992717326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-6648) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK AA546) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-11-28 |