| NPI | 1669891859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8391) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 009905L) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-09-20 |