| NPI | 1356832661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32071) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62604) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-06-27 |