| NPI | 1356996144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT30797) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2020-09-09 |