| NPI | 1144832650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ LPT-33227) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT36233) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-09-04 |