| NPI | 1275209132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11008) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA CP007791T) |
| 225100000X Physical Therapist (Licence: LA 11008) | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-12-09 |