| NPI | 1548937915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31977) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021031339) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2024-07-08 |