| NPI | 1093566036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 033336) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305216574) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-06-24 |