| NPI | 1689306706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10747) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-31613) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |