| NPI | 1679674709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4987) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7321) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2018-09-13 |