| NPI | 1831852631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT034088) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: NC P20865) | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2025-02-26 |