| NPI | 1003536020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32505) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1115327) |
| 225100000X Physical Therapist (Licence: LA 11090R) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-01-05 |