| NPI | 1699323592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 30795) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19912) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2024-01-02 |