| NPI | 1629306923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30686) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 4273) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2024-06-19 |