| NPI | 1457183956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033784) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: CO CP033569T) | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-09-16 |