| NPI | 1750790788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-010916) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10916) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 10916) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-06-26 |