| NPI | 1063910032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 001551) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2020-09-10 |