| NPI | 1801326145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-013503) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 2162) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-01-15 |