| NPI | 1669161535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 009077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32954) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2024-10-26 |