| NPI | 1912642158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06970) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32257) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |