| NPI | 1508445446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-013031) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 160063) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |