| NPI | 1679669220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-005345) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5345) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-01-27 |