| NPI | 1376817866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 004828) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 12863) |
| 225X00000X Occupational Therapist (Licence: AZ 4828) | |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2022-09-09 |