| NPI | 1053126631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-034024) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23581) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |