| NPI | 1780826537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10204) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18582) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2023-09-13 |