| NPI | 1093076333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5398) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 1169) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |