| NPI | 1699020461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 9864) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1220387) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2014-11-25 |