| NPI | 1538250048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10033) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005618) |
| 225100000X Physical Therapist (Licence: IN 05009095A) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 10033) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-02-18 |