| NPI | 1063962348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11702) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291992) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |