| NPI | 1437450913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-010226) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT40253) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2021-03-18 |