| NPI | 1205563798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033380) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT38902) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-07-09 |