| NPI | 1588066401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11984) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7529) |
| 225100000X Physical Therapist (Licence: NY 037207-1) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2016-01-27 |