| NPI | 1295304467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32104) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-07-14 |