| NPI | 1396128351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 42405) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2020-11-17 |