| NPI | 1992253447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 12468) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040322-1) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2024-04-24 |