| NPI | 1497328470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31150) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64394) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-10-17 |