| NPI | 1063026169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31380) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 202537) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2023-01-26 |