| NPI | 1932823366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP015215T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 11153R) |
| 225100000X Physical Therapist (Licence: FL 38317) | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |