| NPI | 1346416674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-008605) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2008023637) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-11-03 |