| NPI | 1861243487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 32632) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT302567) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |