| NPI | 1285045567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-013199) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P13214) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2023-08-10 |