| NPI | 1912711458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-033705) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-10 |