| NPI | 1982364055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32165) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT-32143) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |