| NPI | 1952175572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 32492) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 8952) |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |