| NPI | 1982770327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-32463) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007711) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-02-13 |