| NPI | 1255844551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30364) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT293688) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2023-07-21 |