| NPI | 1437162021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 2260) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 15679) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-03-19 |