| NPI | 1801062484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 4377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ AZ4377) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2025-08-22 |