| NPI | 1235639998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-011408) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT293852) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2025-09-26 |