| NPI | 1942758297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT291979) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2022-07-20 |