| NPI | 1629511340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 32585) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28288) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2024-11-12 |