| NPI | 1437759362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31511) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 306025) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-05-17 |