| NPI | 1407304926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30871) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3400) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2020-02-18 |