| NPI | 1407060544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 5546) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1682) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-11-05 |