| NPI | 1821697913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31427) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-21 |