| NPI | 1538354592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32451) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5601) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2023-08-08 |