| NPI | 1710092028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26401) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2025-02-09 |