NPI | 1134626880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30163) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2018-04-10 |
Last Update Date | 2024-02-28 |