NPI | 1164664728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8275) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 8275) |
Enumeration Date | 2009-03-28 |
Last Update Date | 2012-02-16 |