| NPI | 1821778242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA CP026845T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-33067) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-01-29 |