| NPI | 1093434326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 034249) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215241) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2025-08-15 |