| NPI | 1750725867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-012876) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 11772) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2025-02-10 |