| NPI | 1508233479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 12831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4667) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2018-03-23 |