| NPI | 1124826334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP049830T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-11-20 |