| NPI | 1225514938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-33275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 10578) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2025-01-02 |