| NPI | 1033888466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033817) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA02042800) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-10-03 |