| NPI | 1649642463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 014302) |
| Additional Taxonomies | 226300000X Kinesiotherapist (Licence: AZ Master's Degree) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-06-29 |