| NPI | 1578826731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-005288) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: AZ 5288) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2025-08-27 |