| NPI | 1427539428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31728) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043404) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2024-02-27 |