| NPI | 1396866919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2216) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: AZ 2216) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |