| NPI | 1427246016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7673) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10725-024) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2023-11-06 |