| NPI | 1871100156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH11311) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AR 4873) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2023-08-22 |