| NPI | 1033309679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60522) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7755) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2015-12-08 |