| NPI | 1518065721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 4214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 1193) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-06-22 |