| NPI | 1497150916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32277) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01549100) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2023-10-18 |