| NPI | 1487850186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 7254) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: AZ 7254) |
| 2251H1300X Physical Therapist, Human Factors (Licence: AZ 7254) | |
| 2251N0400X Physical Therapist, Neurology (Licence: AZ 7254) | |
| 2251S0007X Physical Therapist, Sports (Licence: AZ 7254) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 7254) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2011-12-23 |