| NPI | 1841821337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31079) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ LPT-31079) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2023-09-29 |