| NPI | 1396046066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11482) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 24153) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2016-05-26 |