| NPI | 1942325782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-001469) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 1469) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-04-04 |