| NPI | 1295431864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-24302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32184) |
| 225100000X Physical Therapist (Licence: OR 64263) | |
| 225100000X Physical Therapist (Licence: UT 12437698-2401) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |