| NPI | 1497285126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-013070) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13070) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-01-03 |