| NPI | 1073130068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC CP026239T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-31332) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-12-08 |