| NPI | 1275057283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 12198) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 293151) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-06-30 |