| NPI | 1861048068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-31411) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 12366) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2023-11-20 |