| NPI | 1528554334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: AZ LPT-30092) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: AZ LPT-30092) |
| 225100000X Physical Therapist (Licence: AZ LPT-30092) | |
| 2251G0304X Physical Therapist Geriatrics (Licence: AZ LPT-30092) | |
| 2251N0400X Physical Therapist Neurology (Licence: AZ LPT-30092) | |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2022-01-11 |