| NPI | 1598962524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32283) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 0717) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-03-21 |