| NPI | 1477769248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 6223) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7445) |
| 225100000X Physical Therapist (Licence: CA 29056) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |