| NPI | 1528128527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9103) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AZ 816457) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-07-21 |