| NPI | 1568501443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 5257) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5257) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-03-04 |