| NPI | 1053743914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 10443) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 10443) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2014-01-20 |