| NPI | 1669246690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305216153) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ CP035451T) |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-11-18 |