| NPI | 1063045698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR CP001312T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 099304) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-03-03 |