| NPI | 1851178818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033576) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT40792) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2024-08-07 |