| NPI | 1033000583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033579) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP045156T) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2026-08-06 |