| NPI | 1598306680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32966) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT34936) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2023-06-28 |