| NPI | 1114307741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11608) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 11608) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2023-08-22 |