| NPI | 1801650734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-033364) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-12-30 |