| NPI | 1154832129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 13373PT) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 6832) |
| 225100000X Physical Therapist (Licence: MO 2015003682) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |