| NPI | 1639878069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32846) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |