| NPI | 1740914977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-034139) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTT38913) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2025-09-02 |