| NPI | 1376318196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP026179T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 12120) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2024-12-31 |