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 |