| NPI | 1003455114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31069) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-3106) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2022-08-12 |