| NPI | 1285875377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7952) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 7952) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 7952) | |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |