| NPI | 1013393941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 012920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61032) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2022-07-14 |