| NPI | 1134837172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP025683T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: AR CP018459T) | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2023-10-19 |