NPI | 1730246687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 3992) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 3992) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2013-04-15 |