| NPI | 1376078832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-003047) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 003047) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-02-05 |