| NPI | 1982891248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9599) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 2608) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2024-04-12 |