| NPI | 1871298455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR CP019018T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32896) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |