| NPI | 1962096891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ CP034759T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-06685) |
| 225100000X Physical Therapist (Licence: IA 106104) | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2024-10-24 |