| NPI | 1871105080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31407) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 63738) |
| 225100000X Physical Therapist (Licence: ID 6664) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2024-02-05 |