| NPI | 1457382558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 1435) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ AZ1435) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-02-11 |